Individual
CORTNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PTA
Contact information
Practice address
120 LAKES AT LITCHFIELD DR, PAWLEYS ISLAND, SC 29585-9001
(843) 314-5642
Mailing address
1151 POLLEN LOOP, MURRELLS INLET, SC 29576-8588
(843) 655-4838
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3703
SC
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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